Individual provider Active NPI

Flloyd A.a Coke

  • Clinical Nurse Specialist
  • Long Island, NY
National Provider Identifier
1730911165
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
912732-01 Issued in NY
Practice address
28-11 Queen Plaza North
5TH Floor
Long Island, NY 11101
Phone
(718) 391-8300
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 912732-01 NY Primary

Addresses

Primary practice location

28-11 Queen Plaza North
5TH Floor
Long Island, NY 11101

Mailing address

16 Magnolia St
Bridgeport, CT 06610-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
912732-01NYMDClinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1730911165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAGNOLIA ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-11 QUEEN PLAZA NORTH",
            "address_2": "5TH FLOOR",
            "city": "LONG ISLAND",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "718-391-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKE",
        "first_name": "FLLOYD",
        "middle_name": "A.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "912732-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.